Nursing management of tonsillitis

Table of Content. INTRODUCTION ........................................................................................................................... 1 MAIN BODY ................................................................................................................................... 1 CONCLUSION ................................................................................................................................ 1 REFERENCES ................................................................................................................................ 2 INTRODUCTION The care nurses generally encompass an autonomous as well as a collaborative care of people as well as children of all age groups, families as well as societies, both ill and well-being people in every sector. The care nurses can involve the promotion of well-being, the prevention of disease as well as care of disabled, sick, or dying individuals ( Sara et. al., 2021 ). In this, advocacy, research, promotion of a safe environment, engagement in shaping a health policy as well as inpatient and well-being system management and education are generally also key nursing care roles. In this report, there is a discussion about the case scenario of Joe who is a 6- years-old boy and is admitted to an emergency department due to high fever, ear pain, having difficulty swallowing, and vomiting. There is a discussion about nursing care assessment and management of his underlying conditions of Joe a...

Common signs and symptoms of streptococcal pharyngitis include sore throat, temperature greater than 100.4°F (38°C), tonsillar exudates, and cervical adenopathy. Cough, coryza, and diarrhea are more common with viral pharyngitis. Available diagnostic tests include throat culture and rapid antigen detection testing. Throat culture is considered the diagnostic standard, although the sensitivity and specificity of rapid antigen detection testing have improved significantly. The modified Centor score can be used to help physicians decide which patients need no testing, throat culture/rapid antigen detection testing, or empiric antibiotic therapy. Penicillin (10 days of oral therapy or one injection of intramuscular benzathine penicillin) is the treatment of choice because of cost, narrow spectrum of activity, and effectiveness. Amoxicillin is equally effective and more palatable. Erythromycin and first-generation cephalosporins are options in patients with penicillin allergy. Increased group A beta-hemolytic streptococcus (GABHS) treatment failure with penicillin has been reported. Although current guidelines recommend first-generation cephalosporins for persons with penicillin allergy, some advocate the use of cephalosporins in all nonallergic patients because of better GABHS eradication and effectiveness against chronic GABHS carriage. Chronic GABHS colonization is common despite appropriate use of antibiotic therapy. Chronic carriers are at low risk of transmitting disease ...

Treatment of acute tonsillitis is largely supportive and focuses on maintaining adequate hydration and caloric intake and controlling pain and fever. Inability to maintain adequate oral caloric and fluid intake may require IV hydration, antibiotics, and pain control. Home intravenous therapy under the supervision of qualified home health providers or the independent oral intake ability of patients ensures hydration. Intravenous corticosteroids may be administered to reduce pharyngeal edema. Airway obstruction may require management by placing a nasal airway device, using intravenous corticosteroids, and administering humidified oxygen. Observe the patient in a monitored setting until the airway obstruction is clearly resolving. Tonsillectomy is indicated for individuals who have experienced more than 6 episodes of streptococcal pharyngitis (confirmed by positive culture) in 1 year, 5 episodes in 2 consecutive years, or 3 or more infections of tonsils and/or adenoids per year for 3 years in a row despite adequate medical therapy, or chronic or recurrent tonsillitis associated with the streptococcal carrier state that has not responded to beta-lactamase–resistant antibiotics. Tonsillitis and its complications are frequently encountered. Antibiotics cure most patients with bacterial tonsillitis, and surgery usually cures patients with infections and complications that are refractory to medical management. Better understanding of the immunology of tonsillitis, actively trackin...

Continuing Education Activity Tonsillitis, or inflammation of the tonsils, is a common disease and makes up approximately 1.3% of outpatient visits. It is predominantly the result of a viral or bacterial infection and, when uncomplicated, presents as a sore throat. Acute tonsillitis is a clinical diagnosis. Differentiation between bacterial and viral causes can be difficult; however, this is crucial to prevent the overuse of antibiotics. This activity reviews the etiology, presentation, evaluation, and management of tonsillitis, and examines the role of the interprofessional team in evaluating, diagnosing, and managing the condition. Objectives: • Identify the etiology and pathophysiology of tonsillitis. • Review the history, physical, and evaluation of tonsillitis as well as the need for a thorough differential. • Outline the treatment and management options available for tonsillitis as well as the potential complications and prevention strategies. • Explain interprofessional team strategies for improving care coordination and communication to enhance tonsillitis outcomes. Introduction The palatine or faucialtonsils are in the lateral oropharynx.They are found between the palatoglossal arch anteriorly and the palatopharyngeal arch posteriorly, known as the palatine arches or pillars.The tonsils arecomposed of lymphatic tissue and are a component of Waldeyer's ring along with the adenoids (nasopharyngeal tonsil), tubal tonsil, and lingual tonsil. Tonsillitis,or inflammatio...